School teachers with or without mental health problems working at the participating schools. Not Applicable
Conditions
Interventions
The individual focused interventions include four components:
1. A screening to identify individuals with reduced psychological wellbeing
2. A case manager is appointed to contact the individuals wit
Sponsors
The National Research Center For The Working Environment (NRCWE) (Denmark)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All public schools in the municipal of Copenhagen got the possibility to seek for participation in the project - both school teachers (children age: 7-15 years) and preschool teachers (children age: 6 years) from the participating schools will be part of the study population.
Exclusion criteria
Exclusion criteria: Exclusion criteria for participating in the project: Special schools (as for example schools for deaf students) are not invited to participate in the project Exclusion criteria for participation in the scientific evaluation of the study: The school management and school employees who have other functions than teaching are not part of the study population Exclusion criteria for participation in the scientific evaluation of the study: The school management and school employees who have other functions than teaching are not part of the study population
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes are: 1. The change from baseline (before the intervention) to the first follow-up (post-intervention) in psychological wellbeing assessed by WHO-5 2. The change from baseline to the first follow-up in work ability measured by the Work-Role Functioning Questionnaire (WRFQ) 3. The change from baseline to the first follow-up in work-related fatigue measured by Need for Recovery Questionnaire (NFR) The change from baseline will be analyzed in a mixed effects model including the intervention as a categorical variable defined according to the intention-to-treat principle, and with the baseline value of the specific outcome as a covariate. The correlation between persons from the same school will be modelled using a compound symmetry covariance structure. Additional primary outcomes are: 1. Sickness absence 2. Employment status These are assessed from the employer?s records for the 12 months periods starting January 2014 (follow-up period). The influence of the intervention on sickness absence will be analyzed in a Cox proportional hazard regression model for interval-censored data using duration of the absence period as the time scale. The correlation between measurements within the individual and within the school will be modelled by including a random effect of individual and a random effect of school. The observation will be censored in case of termination of employment, death, or end of follow-up. The target event when analyzing employment status will be termination of employment at the school, while censoring at termination due to death, at age 65 years (standard age for old-age pension in Denmark), or at end of follow-up, whichever comes first. In these analyses, age will be used as the time scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| The first group of secondary outcomes consists of changes from baseline to follow-up in psychological wellbeing measures complementary to the primary outcomes: 1. Mental health assessed with the Mental Health Inventory-5 (MHI-5) 2. Work ability (WAI) 3. Symptoms of depression and anxiety (SCL-90) 4. Sleep problems (KSS) The second group of secondary outcomes consists of changes from baseline to follow-up of measures assessing the perceived psychosocial working environment: 1. Social support from colleagues (COPSOQ) 2. Social support from the manager (COPSOQ) 3. Social community at work (COPSOQ) 4. Quality of the management (COPSOQ) 5. Social capital among colleagues and between the teachers and the management 6. Expectations with regard to continue to work at the current school Finally, a third group of secondary outcomes will be the change from baseline to 1 year after completion of the interventions (second follow-up) in all the variables mentioned above for: 1. Psychological wellbeing 2. Work ability 3. Work-related fatigue 4. Perceived working environment etc. | — |
Countries
Denmark
Outcome results
None listed